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NPI 1942604590

NPI 1942604590 : SARAH GOFF PHARM D. : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1942604590
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH GOFF PHARM D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/10/2014
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    Last Update Date     |    10/10/2014
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Provider Practice Location Address
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    Address Line         |    6502 SLIDE RD #409
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-1329
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    Country              |    US
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    Telephone            |    806-783-8307
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6502 SLIDE RD #409
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-1329
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    54813
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    License Number State |    TX
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